Analysis of placing drainage tube in laparoscopic inguinal hernia repair at the elders

Abstract

Objective Analysis the causes of inguinal hematoma after laparoscopic inguinal hernia repair at the elders, and how to reduce the rate of this incident. Methods To select the elderly hernia patients of 65 cases with a surgical group of Laparoscopic Surgery Center for Abdominal Wall Hernia center in the People's Hospital of Guangxi zhuang Autonomous Region from November 2014 to November 2015, divided into drainage tube placement group (31 cases) and no drainage tube placement group (34 cases) in the two groups. To review the elderly hernia patients with a surgical group of my center nearly one year, they which was the liquid drainage, postoperative temperature, postoperative pain and seroma were observed after laparoscopic inguinal hernia repair. Results The operation was successfully completed, the operation time ranged from 50 to 110 min, with an average of (92.4±22.5) min. Postoperative follow-up of 1 ~ 12 months after the statistical no seroma occurred in the treatment group, 5 cases of seroma in the control group. Drainage tube drainage is ≤20 ml or less than 72 h to pull out the drainage tube. Pdrainage tube placement group in first 24 h has more drainage, including 1 case of up to 248 ml, accumulative total average in 186 ml. Postoperative hospital stay 2 ~ 7 d. Drainage tube placement group patients did not increase local pain index, fever and other clinical symptoms, the difference was statistically significant (P<0.05). Conclusion Placing drainage tube in laparoscopic inguinal hernia repair at the elders, could prevent the incident of seroma, which has certain feasibility, safety and effectiveness. Key words: Hernia; Laparoscopic inguinal hernia repair; Placing drainage tube; Seroma